Reliability of the Thai version of the Trunk Assessment Scale for spinal cord injury: a preliminary study
Keywords:
spinal cord injury, sitting balance, trunk assessment scale, reliability, internal consistencyAbstract
Objective: Spinal Cord Injury (SCI) often results in impaired sitting balance and trunk control, which are critical for functional independence and quality of life. The Trunk Assessment Scale for Spinal Cord Injury (TASS) was developed to assess sitting balance and trunk control in individuals with SCI. Currently, there is a Thai translation available. However, no analysis of its reliability has been conducted. This study aimed to assess the inter-rater reliability and internal consistency of the Thai version of TASS to ensure its suitability for use in clinical and research settings.
Materials and Methods: Ten individuals with SCI were assessed by three trained raters using the Thai version of TASS. Assessments were conducted independently to ensure unbiased scoring. Inter-rater reliability was analyzed using the intraclass correlation coefficient (ICC) with a 95% confidence interval (CI). Internal consistency was analyzed using Cronbach’s alpha.
Result: The Thai version of TASS demonstrated excellent inter-rater reliability, with an ICC of 0.976 (95% CI: 0.929-0.993). Internal consistency was excellent, with a Cronbach’s alpha of 0.935, indicating strong agreement among the items within the scale.
Conclusion: The Thai version of TASS is a reliable tool as evidenced by its excellent inter-rater reliability and high internal consistency. These findings support that it can be use in clinical and research settings to assess sitting balance in among individuals with SCI among evaluations in Thailand.
References
Lu Y, Shang Z, Zhang W, Pang M, Hu X, Dai Y, et al. Global incidence and characteristics of spinal cord injury since 2000-2021: a systematic review and meta-analysis. BMC Med. 2024;22(1):285.
Tiamkao S. Neurology of nervous system diseases in Thailand. Thai journal of neurology. 2021;37(3):36-51.
Amatachaya S. Physical Therapy and Spinal Cord Injury. 1, editor. Khon Kaen, Thailand: University; 2020.
Wadhwa G, Aikat R. Development, validity and reliability of the 'Sitting Balance Measure' (SBM) in spinal cord injury. Spinal Cord. 2016;54(4):319-23.
Sliwinski MM, Akselrad G, Alla V, Buan V, Kaemmerlen E. Community exercise programing and its potential influence on quality of life and functional reach for individuals with spinal cord injury. J Spinal Cord Med. 2020;43(3):358-63.
The 2019 revision of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI)-What's new? Spinal Cord. 2019;57(10):815-7.
Janssen-Potten YJ, Seelen HA, Drukker J, Reulen JP. Chair configuration and balance control in persons with spinal cord injury. Arch Phys Med Rehabil. 2000;81(4):401-8.
Milosevic M, Yokoyama H, Grangeon M, Masani K, Popovic MR, Nakazawa K, et al. Muscle synergies reveal impaired trunk muscle coordination strategies in individuals with thoracic spinal cord injury. J Electromyogr Kinesiol. 2017;36:40-8.
Abou L, de Freitas GR, Palandi J, Ilha J. Clinical Instruments for Measuring Unsupported Sitting Balance in Subjects with Spinal Cord Injury: A Systematic Review. Top Spinal Cord Inj Rehabil. 2018;24(2):177-93.
Quinzaños J, Villa AR, Flores AA, Pérez R. Proposal and validation of a clinical trunk control test in individuals with spinal cord injury. Spinal Cord. 2014;52(6):449-54.
Sato H, Miyata K, Yoshikawa K, Kusano S, Mizukami M. Reliability and minimal detectable change of the Trunk Assessment Scale for Spinal Cord Injury (TASS) and the trunk control test for individuals with spinal cord injury. Spinal Cord Ser Cases. 2022;8(1):30.
Sato H, Miyata K, Yoshikawa K, Chiba S, Ishimoto R, Mizukami M. Validity of the trunk assessment scale for spinal cord injury (TASS) and the trunk control test in individuals with spinal cord injury. J Spinal Cord Med. 2024;47(6):944-51.
Bujang MA. A simplified guide to determination of sample size requirements for estimating the value of intraclass correlation coefficient: A review. Archives of Orofacial Sciences. 2017;12:1-11.
Burns AS, Ditunno JF. Establishing prognosis and maximizing functional outcomes after spinal cord injury: a review of current and future directions in rehabilitation management. Spine (Phila Pa 1976). 2001;26(24 Suppl):S137-45.
Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. 2016;15(2):155-63.
Taber K. The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education. Research in Science Education. 2018;48:1-24.
Gliem J, Gliem R. Calculating, Interpreting, And Reporting Cronbach’s Alpha Reliability Coefficient For Likert-Type Scales. 2003 Midwest Research to Practice Conference in Adult, Continuing, and Community Education. 2003.
Sadler M, Yamamoto R, Khurana L, Dallabrida S. The impact of rater training on clinical outcomes assessment data: a literature review. International Journal of Clinical Trials. 2017.
Al Shamsi H, Almutairi AG, Al Mashrafi S, Al Kalbani T. Implications of Language Barriers for Healthcare: A Systematic Review. Oman Med J. 2020;35(2):e122.
Luykx A, Lee O, Hart Barnett J, Mahotiere M, Lester B, Deaktor R. Cultural and Home Language Influences on Children's Responses to Science Assessments. Teachers College Record. 2007;109:897-926.
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